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COMMONWIALTH O' ,,,NNnLvANIA
--.,--.-..-- -coiiifof COMMCiN.PU';S.
NOTICE OF APPEAL
FROM
JUDICIAL DIIIIIIIICI
DISTRICT JUSTICE JUDGMENT
COMMON 'LIAS No.
(r{ lpP_~':LLu~Jl. 7f fl>l
NOTICIE OF APPEAL
Notice Is olven that the appellant hm filed in the abovu COLJrt of Comlllon PI.,o~ an oppeal from tho judgment rendltred by the Distrld Justice on the
dale and In the co.. mentioned bolo,",.
, siii'-Jilfiffp' - -Z1T"Piiiih(lflliiiir-Y- t;;-O(>Pl,tY-
--u-------PRAECliiE TO ENTER RULE TO FILE-COMPIAiNTA-ND -IHJi.TTO-jiILE
(This section 01 loon to bo usee! ONLY when aPf.lollilnt WilS OEFENOAN r (sm PD. R.C.P.J.P. No. 100 I (7) in ilction bolore Dlstlict Justico.
IF NOT USED, rlotach lrom copy 01 notico 01 appoal to bo soryorl UpOtl appelleo).
PRAECIPE, To Prothonotory
Enter rul. upon r.ord,m E. F':'{___._..__.__..__.___.___.___... ..._._...___.___._._._____ . oppelleel'l, to fil. 0 complaint in this appeal
Nlimo (If'lfJlX:/!ct'(.'))
(Common Pleo. NQ q 7.. 6J;;; '8:"!.n(anj,! .!f.[!!..L) within tw.nty 120) day. oft.r ,e"i"..of rul. or .uffer e~.Y of judgmont of non pros.
/ ./ ' T.
,~/:c4} (. J;;~"'1\..-'/I
& tJ s/gn/-;";;'fJ-~nWlt or his artomtJy Of ~
RULE, To
Gordon ~' ...E.r..~___~___.
Niwno oIlJWf1/loc( s J
, appellee(.).
(11 You ore notified ,hat CI rule i. hereby en'.red upon you to fil. a ,omplaln' in 'hi. oppeol within tw.nty (20) doy. aflor the dole of
service of this Nle upon- you by penonol service or by certified or registered moll.
(21 ~ you do not file a ,omploint within this time. a JUDGMENT Of NON PROS Will BE ENTERED AGAINST YOU.
131 The dot. of ..rvie. of 'hi. rul. if .ervic. wa' by moil i. the dale of moiilng.
Dote: f\.lov. ..l31h, 19 q -(
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J \ } 1(. ,lilt!\!., .~)lf
SIgIetl.fo of A.A/lQ.....~ '" 0IplAy
PROOF OF SERVICE OF NOTICE OF APPEAL AND RULE TO FILE COMPLAINT
( rIllS proof of SfJrV/CO MUS r BE FILrLJ WI nflN , r N I 10i (lA 'r'S AF r[Fl !I/IOU rtUJ /10/11.") 0' .Wj')/JiJl CfHJGk IJJlpl,cablu bans)
COMMONWEAL rH OF PENNSYLVANIA
COUNTY OF -tiltmh....-l"'t<I...... _.
:u
AFFIDAVIT: I hereby ,w.or or attlrm 1111111 'orVf'~
,~. lJ7-62H7 Clvll '1",,,.11I
'j\J ill.~f)PY 0' fhu NnticiJ of ^ppl,lill Comrllon PII!;l,'; ~lo _,_________._____.__..~____. ,1Ipon tne District JUStlco dOBlgnaled th~rcm on
(dar. of s.rvreBiN"" ...L.:~..--.-. I 9..9-1.. r U !IY pu,"o,,"l ";rvrG~ [X by M~~ltlJt~~Itl'tJjHH) mOil, sonders
reo:!lpt nllAched homlo, nnd utJOn th... ilp~1f!llm,' (fI,Jn1tJ) ,_ ..L:u.ruoLl.. ,E. ,.l'L'L--,_____ccr..Elt (-'( __~~___._, on
-Nttv-...-..l+----, 19_.\lill by p(ln,urlill !H~r'Jlt.:lJ [};.by (CortdlorJ) (~K~) nJfllL 5ondor's recolpt alltH;h~Jd hereto
!Xl and lurthor that I ser\lttd the Rulv lu Fllu a Complaint nccompanYlng Iha obo\lo Notico of Appeal upon thuoppalleel,5) towhOnl
the RlIle was ad~ressod on . Nmr.....t+------.--. 18.._".]_, [] by ~o,"onlll SorvlG" G: by (cerllfled) ('e()lsleftl<l)
mail. sender's rocelpt attachEHi hereto
SWORN (AFFIRMED) AND SUBSCRIBED BEFORE ME
THIS ___....__DAy OF._._......_____. 19___
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/ ~ SlgnuturI 01 df//lnt
PhlUp C. llrl>,\Cltltl
Slgn,lIllffJ 01 OIl'CI/II tJlfIorll whom 8I1H/,lvII Wlt.~ rullda
Trlltof l'Jlflclill
My commluion expires on
,19_.
I verlfv that tht~ Rtatt.!lIlt:'llts mncle In thl::-l affldavLt lire trllE.' nnd correct,
llndt.'rHtand tililt false stnt('l11('l1ts ht'reln Hn~ made subtel't to tht""! penalties of Pa,
C.S. !.90{~t relatlng tu unsworn fnlsLfLcatiml to .1uthol!'ltLc8. /'
..g4:!(~L.;t
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COMMONWIALlH O. 'INNSYLYANIA
'''co''uiyo. i;OMMOi'-~iiA-S
N01'lCE OF APPEAL
fROM
JUDICIAL DISIRICT
DISTRICT JUSTICE JUDGMENT
COMMON 'LIAS No. en - lo'J 8'JCL~.;JlJj!f!1
NOTICE OF APPEAL
""'lice I. glvon lhol the oppellonl ho. filed In the obov. Cou,' of COI"""" PI.", u" uppuul frOI1l th. Judum.nt ,u,,,I.rud by th. Di."ld Jv.,Ie. on tho
dolo and In tho ca.. """'~oned b.low.
~-~"---------_._-_.._----------_._--_.._--. .
NagM Ie Wlntt.!nl
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61105 (;Ll'I1\,,)(,,1 St. ^pt. 11(,
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"^ 17055
[lii\'- flip \v~ Q,\~lr?'lbMr ltb\;\il::L----/-- --.-
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__ LT 19l}7 LT-()nr){II,'17-~_L _ ._._____.. []'l),:{Jj..?_.: ?t._ 9_ ._____..__Udlj~___7'J_1.Io/.i'
Thl. block will b. ~gnod ONLY wh.n thl. nolollon i. requir.d und.r Po. R.C.P.J.P, No. 1/1lfJ(Je/lant W1lS CLAIMANT (see P1l. R.C.P.J.P. No.
100811.
Thi. Notle. of App.ol, when ,.c.lved by the Di.lricl JUltlee, will op.role 01 0 1001 (6) In action belore Dis/rlct Justice, he MUST
SUPERSEDEAS 10 Ih.judgment f", pou.ulon in Ihl. em.. FILE A COMPLAINT within twenty (20) days after
... .________ filing 11is NOTICE 01 APPEAL.
----------.--...-.-siijniJiiiro(JrPr(j;fj()iir)lllry (); -Ot!;xiiy ,_.
_..____.__m.__.._... PRAECIPETOENTER"RIiiE - TO"ILECO'NIP'LAINl'ANifRULE TO FILE-----m---
IThls soctlon 01 tarm /0 be u,ad ONLY when aPfJCllan/ was DEFENDANT I seo Prl. nG.p.J.P, No, '00' 17 J in action bolorc District Justice.
IF NOT USED, de/och (rom copy at notico 01 aPfJCal to be sorved upon aPfJCIIO<l).
PRAECIPE, To Prothonoto,y
Enler ,ul. upon _~..':don .~:. _.!:'ry_~..________.________._.____....._..._____",...___ , oppell.el'), to fil. 0 complaint In thl. opp.al
Niltrlo of iJPPtllkw( s j
(Common PI.o. No. 9..1-..Lz.;J" '81 G.;,.;.ji 7er"u within IWtlnly (201 doy. ofte, .eMf rule '" .uffer.
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RULE, To
Gllrd"J.LJ::.~~ ....."'_____ __._, opp.II..I.).
N~ 01 lijJpOlhJ<<s J
( 1) Yoo or. notified thol 0 rul. I. h..eby .nt..ed upon you 10 fil. 0 comploint in Ihi. appeal within Iw.nly 120) doy. after the delo of
servke of this rule upon you by penanal service or by certified or registered moil.
(2) W yoo do not file 0 complaint within Ihl. ~me, a JUDGMENT OF NON PROS WILL BE ENTERED AGAINST YOU.
(3) Tho dolo of ..(Vie. of thl. rule if ...vlc. was by moil I. the dot. of moiling.
NJPC :II:.I-dot
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3~ 3~OnEl 03ElI~::>SElnS ON\! (03~~I~~\!) N~OMS
.OFJJ04 paljoBUt' IdlaOaJ s,Japuas '1law
(palOlsiO.,) (pol)llIao) ^q 0 "".,as leUOsJad ^q 0 '-6~' - lJO paSSeJpp8 S8M alfltj a~1
l"a~M 01ls)aalladd8 a~1 uadn ISadd\!lo a'!lON "^oq8 a~1 pUi^lJadlU0008IUlalduJ0:J 8 op~ 01 olntj 041 pa^JOs Ilalll lO~lIn) pua 0
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uo UliJJdll1 pi3leutllsap QO!lsnr PjJ)SI(l 8lH uodn' ,--,.._.._-- .-'-'--'ON \:i~Old lJOUILUO:J 'lfl<lddV 10 aJlloN alll}O Ada',) e 0
pa"as 11841 lUJlII8 JO ,.aMS ^qaJa4 I :.LI^Val:l.:Jv
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COMMONWEALTH OF PENNSYLVANIA
COUNTY OF: CUMBERLAND
~_( 'z,U.ut- 1: JC)
NOTICE OF JUDGMENTITRANSCRIPT
RESIDENTIAL LEASE
PLAINTIFF: N,4,t-.lf .:In" ",UOHE!i1i
fiRY, GORDON E
BOX 1057
MBCHANICSBURG, l'A 17055
L
MUll IJlftl N'l
09-3-04
l}JNIIII1I- Hon
GLENN R. FARNER
"""'... 5002 LBNKBR STREET
MBCHANICSBURG, l'A
VS.
DEFENDANT: N,A,Mt: ancl AODflEBS
rwINTERS, MAGGIE ..,
6405 GLENWOOD ST. Al'T.# 6
MBCHANICSBURG, l'A 17055
L ~
Docket No,: LT- 0000437. 97 _~_
Date Flied: 10/27/97 ~
,,,,,",", (717) 761-8230
17055-0000
MAGGIE WINTERS
6405 GLENWOOD ST. Al'T.#
, MBC!IANICSBURG, l'A 17055
6
.
.
THIS IS TO NOTIFY YOU THAT:
Judgment: ._..lOll.'eLAIN'rXll"._ -" - -- ..-----.-- ..--'---
[!] Judgment was entered tor: (Name) PRY. GORDON E
n Judgment was entered against WI!'TERS. MAGGIE
LAJ Landlord/Tenant action In the amount of $ 77. 00 on 11/07 /97
O The amount of rent per month, as established by the District Justice, is $
Damages will be assessed on: (Date & Time)
The total amount of the Security Deposit Is $ 450. 00,
In a
, (Date of Judgment)
515.00,
Total Amount Established by OJ Less Security Deposit Applied ~ Adjudicated Amount
Rent In Arrears $ .00 $ _~ ~ $ .00
Physical Damages Leasehold Property $ .00 $ . 00 ~ $ .00
Damages/Unjust. Detention $ .00 $ - 00 = $ -Jlll
Less Amt Due Defendant from Oross Complaint - $ . 00
Interest (If provided by lease) $ .00
UT Judgment Amount $ no
Judgment Costs $ 7? .00
Attorney Fees $ I' 00
Total Judgment $ 77.00
O Attachment Prohibited/
Victim of Abuse (Act 5, 1996)
o This case dismissed without prejudice.
[!] Possession granted,
o Possession granted If money judgment is not satisfied by lime of eviction.
o Possession not granted.
o Levy Is stayed for _ days or 0 generaliy stayed.
o Objection to Levy has been flied and hearing will be held:
Date: Place:
Time:
- ,-
ANY PARTY HAS THE RIGHT TO APPEAL A JUDGM~NT INVOLVING A RESID~NTIAL LEASE AND AF~eCTING tile DELIVERY OF POSSESSION
OF REAL ?ROPERTY WITHIN 10 DAYS AFTER THE DATE OF ~NTRY OF JUDGMENT BY FILING A,NOrICEOF A~;e~L WITH THE
PROTHONOTARY/CLERK OF COURTS OF THE COURT OF COMMON PLEAS, CIVIL DIVISION.I~~RDER TO OBTAIN A SUPERSEDEAS, YOU
MUST DEPOSIT WITH THE PROTHOIlOTARY THE LESSER OF 3 MONT~S RENT OR THE RENT ACTUALL ~ IN ARRURS ON l'HE DATE THE
APPEAL IS FILED,
If YOU WIStl TO APPEAL THE MONEY PORTION ONLY OF A JUDGMENT INVOLVING A RESIOENTIALLEASE, YOU HAVE 30 DAYS
AFTER THE DATE OF EmRY OF JUDGMENT IN WHICH TO FilE A NOTICE OF APPEAL wrrH THE PROTHONOTARY/CLERK OF COURTS OP
lHE COURT OF COMMON PLEAS, CIVIL DIVISION,
YOU MUST INCLUDE A COPY OF THIS NOTICE OF:..JUOGMENTITRANSCRIPT EORM WITH YOUR NOTICE, OF APPEAL,
1l~_L1J__ Date'./ / (' (, \' I ,~_:.. ~/, ~.J r ('''1. , , District Justice
I certify thatt~lis Is a true and correct copy 01 the record 01 the proceedings containing the judgment.
.l,LJ- I -, Date ~~'--'-:..._, I \''':''', '7' - !L , ,DistrictJustlce
..,
~
Gordon E. Fry,
plaintiff
IN TilE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
v.
Maggie Winters
Defendant
NO. 97- lc<)'8'1
CUSTODY
PRAECIPE T~ PROCEED IN FORMA PAUPERIS
To the prothonotary:
Kindly allow, Maggie Winters, the defendant, to proceed in
forma Ril.uoer is.
I, Philip c. Briganti, attorney for the party proceeding in
forma nguoeris, certify that I believe the party is unable to pay
the costs and that I am providing free legal services to the
party. The party's affidavit showing inability to pay the costs
of litigation is attached hereto.
, (j;"
P~ lip . Brig nti
Attorney for fendant
LEGAL SERVICES, INC.
a Irvine Row
Carlisle, PA 17013
(717) 243-9400
Gordon E. Fry,
IN THE COURT OF COMMON PLEAS OF
plaintiff
v.
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 97~
Maggie Winters
Defendant
CUSTODY
AFFIDAVIT IN SUPPORT OF PETITION
fOR LEAVE TO PROCEED IN FORMA rAUPE~
1. I am the plaintiff in the above matter and because of my
financial condition am unable to pay the fees and costs of
prosecuting, defending, or appealing the action or proceeding.
2. I am unable to obtain funds from anyone, including my
family and associates, to pay the costs of litigation.
,
3. I represent that the information below relating to my
ability to pay the fees and costs is true and correct.
(a) Name:
Maqqie Winters
Address: 6405 Glenwood st.
Mechanicsburq. PA 17055
social Security Number: 185-50-0874
(b) If you are presently employed, state
Employer: ....-..Kline Famil v .!'..l;:lIctice
Address:
2601 North Jrd st.
_.llil..r..r.lillllirq PAl 7 UQ.....
Salary or wages per month:
$1100 lnet)
Type of work: medical sec~~rY
If you are presently unemployed, state
Date of last employment:
Salary or wages per month:
'l'ype of work:
(c) Other income within the past twelve months
Business or profession: N/A
Other self-employment: N/A
Interest: N/A
Dividends: N/A
Pension and annuities: N/A
social security benefits: N/A
support payments: $120/month (started 11/97)
Disability payments: N/A
Unemployment compensation and
supplemental benefits:
N/A
N/A
N/A
N/A
Workman's compensation:
Public Assistance:
Other:
(d) Other contributions to household support
(Wife) (Husband) Name: _
If your (husband) (wife) is employed, state
Employer:
Salary or wages per month:
Type of work:
contributions from children:
(e) Proper.ty owned
Cash:
$40.00
Checking Account:
None
Savings Account:
$926.00
Certificates of Deposit: _ N/A
Real Estate (including home): N/A
Motor vehicle: Make -Ford Escort_ Year 1993
Cost $8.000 Amount owed $6.000
stocks; bonds: N/A
other.: N/A
(f) Debts and obligations
Mortgage:
Rent: $250.00
Loans: $85.00: student loans car loan $264.00/month_
personal loan $100.00/month
Monthly Expenses: Groceries $280.00: Electric $98.00:
Telephone $22.00: Davcare $140.00: rine $50.00: Car
insurance $146.00 (everv ) monthsl: Gas $100.00:
QlQthinq $50.00: School lunches $40.00 _
(g) Persons dependent upon you for support
(Wife) (HUsband) Name:
Children, if any:
Name: Nicole Ozio Age: 13 vears
Kvle winters 5 vears
4. I understand that I have a continuing obligation to
inform the court of improvement in my financial circumstances
which would permit me to pay the costs incurred herein.
5. I verify that the statements made in this affidavit are
true and correct. I understand that false statements herein are
made subject to the penalties of 18 Pa. e.s. 4904, relating to
unsworn falsification to authorities.
Date: /1/p/'l1
,
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